Hepatocellular carcinoma mimicking an atrial mixoma

A 60-year-old female (P.G.) suffering from palpitations and dyspnoea was referred first to trans-thoracic echocardiography; then she was referred to trans-oesophageal echocardiography that indicated the presence of a right atrial mass that was classified as atrial mixoma (Supplementary material online, Movie S1 ). Because of the low cardiovascular risk, the patient was then referred to 64-slice Cardiac CT (CCT) to exclude the presence of obstructive coronary artery disease prior to open heart surgery. Cardiac CT showed normal coronary arteries ( Panels …